For the 2nd year in a row, Aspirus has been recognized as one of the top 15 Top Health Systems in the United States by IBM Watson in their annual study identifying the top-performing health systems in the country based on overall organizational performance.
Aspirus Network Inc. (ANI) is seeking a full time Contract Management/Managed Care Analyst who will be responsible for developing, analyzing, and monitoring all ANI system contracted payor financial terms for strategic decision-making.
This will include:
Developing detailed reimbursement analysis for standard and non-standard payor financial arrangements and reports to assist in complex payor negotiation efforts.
Serving as key resource for ANI system on analyzing and interpreting payor financial terms and may mentor others to gain awareness and understanding of financial terms.
Establishing and maintaining solid relationships with all ANI contracted payers and ANI system providers to effectively serve as a liaison between payors and ANI system.
Establishing and making recommendations on policies, practices and procedures to effectively achieve ANI strategic objectives aligned with value-based contracting.
Location: Aspirus Oakview Professional Building - Wausau, WI.
Our ideal candidate will possess the following skills and education requirements:
Knowledge of medical management practices normally acquired through completion of a Bachelor's degree.
Master's degree preferred.
Minimum of 3-5 years' related experience in a healthcare setting with emphasis in healthcare finance or managed care.
Advanced statistical experience and financial analytical skills demonstrated by experience preparing analytical reports, business case analysis, or work processes.
Advanced experience and knowledge with Microsoft Excel, other analytic tools including Qlik.
Knowledge of medical billing terminology and coding (CPT-4, ICD-10 CM)essential.
Possesses ability to effectively and efficiently collect relevant data (administrative, clinical, transactional, etc.) and accurately interpret data in a meaningful and actionable way.
Health insurance plan or managed care contracting experience, along with administrative medical experience and/or clinical experience (assuming the knowledge requirements are met).
Large project management and business planning skills.
Wausau, Wisconsin is located in the lovely Wisconsin River valley at the center of the state. We have a metro area population of 85,000 with excellent schools, busy performing arts center, large private music conservatory, and visual arts center. Quiet residential neighborhoods surround Lake Wausau and overlook the Wisconsin River or have views of Rib Mountain State Park. We enjoy four seasons of recreation including all water sports, sailing, kayaking, mountain biking, hiking, soccer, down-hill and cross-country skiing.
Internal Number: Aspirus Network
About Aspirus Network, Inc.
Aspirus is a non-profit, community-directed health system based in Wausau, Wisconsin. With more than 7,600 employees, serving communities throughout northern and central Wisconsin, as well as the western Upper Peninsula of Michigan, our integrated system includes four hospitals in Wisconsin and four in Michigan with more than 55 clinics.